QPP Measure #326
Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Percentage of patients aged 18 years and older with a diagnosis of nonvalvular atrial fibrillation (AF) or atrial flutter whose assessment of the specified thromboembolic risk factors indicate one or more high-risk factors or more than one moderate risk factor, as determined by CHADS2 risk stratification, who are prescribed warfarin OR another oral anticoagulant drug that is FDA approved for the prevention of thromboembolism
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 99201 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99281 | CPT Code | ||
| 99282 | CPT Code | ||
| 99283 | CPT Code | ||
| 99284 | CPT Code | ||
| 99285 | CPT Code | ||
| 99304 | CPT Code | ||
| 99305 | CPT Code | ||
| 99306 | CPT Code | ||
| 99307 | CPT Code | ||
| 99308 | CPT Code | ||
| 99309 | CPT Code | ||
| 99310 | CPT Code | ||
| 99324 | CPT Code | ||
| 99325 | CPT Code | ||
| 99326 | CPT Code | ||
| 99327 | CPT Code | ||
| 99328 | CPT Code | ||
| 99334 | CPT Code | ||
| 99335 | CPT Code | ||
| 99336 | CPT Code | ||
| 99337 | CPT Code | ||
| 99341 | CPT Code | ||
| 99342 | CPT Code | ||
| 99343 | CPT Code | ||
| 99344 | CPT Code | ||
| 99345 | CPT Code | ||
| 99347 | CPT Code | ||
| 99348 | CPT Code | ||
| 99349 | CPT Code | ||
| 99350 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G8967 | Fda approved oral anticoagulant is prescribed | ||
| G8968 | Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment) | ||
| G8969 | Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation) | ||
| G8970 | No risk factors or one moderate risk factor for thromboembolism | ||
| G8971 | Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given | ||
| G8972 | One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism | ||
| G9746 | Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery) | ||
ICD10CM Codes | |||
| Code | Description | ||
| I48.0 | Paroxysmal atrial fibrillation | ||
| I48.1 | Persistent atrial fibrillation | ||
| I48.2 | Chronic atrial fibrillation | ||
| I48.3 | Typical atrial flutter | ||
| I48.4 | Atypical atrial flutter | ||
| I48.91 | Unspecified atrial fibrillation | ||
| I48.92 | Unspecified atrial flutter | ||
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